J Clin Neurol.
2005 Apr;1(1):101-103. 10.3988/jcn.2005.1.1.101.
Wall-Eyed Monocular Internuclear Ophthalmoplegia (WEMINO) with Contraversive Ocular Tilt Reaction
- Affiliations
-
- 1Department of Neurology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea. mclee@amc.seoul.kr
- 2Department of Ophthalmology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.
- KMID: 2287720
- DOI: http://doi.org/10.3988/jcn.2005.1.1.101
Abstract
- Wall-eyed monocular internuclear ophthalmoplegia (WEMINO) with contraversive ocular tilt reaction has not been previously reported. A 71-year-old woman suddenly developed blurred vision. Examination revealed left internuclear ophthalmoplegia, left exotropia, right hypotropia, and rightward head tilt. Magnetic resonance imaging showed a tiny infarction at the area of the left medial longitudinal fasciculus in the upper pons. WEMINO with contraversive ocular tilt reaction may be caused by a paramedian pontine tegmental infarction that selectively involves the medial longitudinal fasciculus.
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